KR20190139767A - 복강경 겸자 기구 - Google Patents

복강경 겸자 기구 Download PDF

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Publication number
KR20190139767A
KR20190139767A KR1020190065169A KR20190065169A KR20190139767A KR 20190139767 A KR20190139767 A KR 20190139767A KR 1020190065169 A KR1020190065169 A KR 1020190065169A KR 20190065169 A KR20190065169 A KR 20190065169A KR 20190139767 A KR20190139767 A KR 20190139767A
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KR
South Korea
Prior art keywords
tissue
branches
hinge
forceps
tissue abutment
Prior art date
Application number
KR1020190065169A
Other languages
English (en)
Korean (ko)
Inventor
아킴 브로드벡
베르하르트 놀트
마티아스 포이히랜더
팀 클로스
Original Assignee
에에르베에 엘렉트로메디찐 게엠베하
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by 에에르베에 엘렉트로메디찐 게엠베하 filed Critical 에에르베에 엘렉트로메디찐 게엠베하
Publication of KR20190139767A publication Critical patent/KR20190139767A/ko

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A61B18/1447—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2939—Details of linkages or pivot points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2947—Pivots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00404—Blood vessels other than those in or around the heart
    • A61B2018/00428—Severing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589—Coagulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063—Sealing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
KR1020190065169A 2018-06-08 2019-06-03 복강경 겸자 기구 KR20190139767A (ko)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP18176834.2A EP3578125B1 (de) 2018-06-08 2018-06-08 Laparoskopisches zangeninstrument
EP18176834.2 2018-06-08

Publications (1)

Publication Number Publication Date
KR20190139767A true KR20190139767A (ko) 2019-12-18

Family

ID=62597381

Family Applications (1)

Application Number Title Priority Date Filing Date
KR1020190065169A KR20190139767A (ko) 2018-06-08 2019-06-03 복강경 겸자 기구

Country Status (6)

Country Link
US (1) US11426187B2 (zh)
EP (1) EP3578125B1 (zh)
JP (1) JP7305434B2 (zh)
KR (1) KR20190139767A (zh)
CN (1) CN110575245B (zh)
BR (1) BR102019010758A2 (zh)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018013314A1 (en) 2016-07-14 2018-01-18 Intuitive Surgical Operations, Inc. Instrument flushing system
KR102400881B1 (ko) 2016-07-14 2022-05-24 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 다중 케이블 의료 기기
CN112451084B (zh) * 2020-12-02 2021-10-01 曲海霞 一种消化科腹腔镜微创手术器械
CN117835925A (zh) * 2021-08-18 2024-04-05 直观外科手术操作公司 手术器械剪切器

Family Cites Families (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1754806A (en) * 1929-09-05 1930-04-15 Holland N Stevenson Surgical instrument
US4721116A (en) * 1985-06-04 1988-01-26 Schintgen Jean Marie Retractable needle biopsy forceps and improved control cable therefor
GB9309142D0 (en) * 1993-05-04 1993-06-16 Gyrus Medical Ltd Laparoscopic instrument
US5373854A (en) * 1993-07-15 1994-12-20 Kolozsi; William Z. Biopsy apparatus for use in endoscopy
US5582617A (en) * 1993-07-21 1996-12-10 Charles H. Klieman Surgical instrument for endoscopic and general surgery
US5820630A (en) * 1996-10-22 1998-10-13 Annex Medical, Inc. Medical forceps jaw assembly
JP3693821B2 (ja) * 1998-07-24 2005-09-14 オリンパス株式会社 内視鏡用鉗子
ES2241369T3 (es) 1998-10-23 2005-10-16 Sherwood Services Ag Forceps bipolar electroquirurgico endoscopico.
US7887535B2 (en) * 1999-10-18 2011-02-15 Covidien Ag Vessel sealing wave jaw
US6309404B1 (en) * 1999-10-19 2001-10-30 Jacek Krzyzanowski Flexible biopsy jaw assembly
US7252666B2 (en) * 2000-02-14 2007-08-07 Sherwood Services Ag Arterial hole closure apparatus
US6358268B1 (en) * 2000-03-06 2002-03-19 Robert B. Hunt Surgical instrument
AU2002224420A1 (en) * 2000-10-16 2002-04-29 Lumend, Inc. Catheter for treating a vascular occlusion
EP1685806B1 (en) * 2001-04-06 2011-06-08 Covidien AG Vessel sealer and divider with non-conductive stop members
US7101371B2 (en) 2001-04-06 2006-09-05 Dycus Sean T Vessel sealer and divider
US20030120307A1 (en) * 2001-12-21 2003-06-26 Abergel R. Patrick System and method for surgical enhancement of the lips
US7540872B2 (en) * 2004-09-21 2009-06-02 Covidien Ag Articulating bipolar electrosurgical instrument
US7918848B2 (en) * 2005-03-25 2011-04-05 Maquet Cardiovascular, Llc Tissue welding and cutting apparatus and method
RU53884U1 (ru) 2005-07-04 2006-06-10 Артур Факилевич Аглиуллин Электрохирургические щипцы
DE102006028001B4 (de) * 2006-06-14 2009-11-26 Paul Peschke Gmbh Chirurgische Greifzange
US8568410B2 (en) * 2007-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Electrical ablation surgical instruments
US8409200B2 (en) * 2008-09-03 2013-04-02 Ethicon Endo-Surgery, Inc. Surgical grasping device
US8632539B2 (en) * 2009-01-14 2014-01-21 Covidien Lp Vessel sealer and divider
US9655672B2 (en) * 2010-10-04 2017-05-23 Covidien Lp Vessel sealing instrument
WO2012112888A2 (en) * 2011-02-18 2012-08-23 Intuitive Surgical Operations, Inc. Fusing and cutting surgical instrument and related methods
US9433462B2 (en) 2012-12-21 2016-09-06 Cook Medical Technologies Llc Tissue fusion system, apparatus and method
JP5689496B2 (ja) * 2013-04-22 2015-03-25 コヴィディエン・アクチェンゲゼルシャフト 非導電性ストップ部材を有する血管の封着機および分割機
WO2015017995A1 (en) 2013-08-07 2015-02-12 Covidien Lp Bipolar surgical instrument with tissue stop
WO2015053905A1 (en) * 2013-10-10 2015-04-16 GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) Laparoscopic forceps assembly
US9763685B2 (en) * 2015-01-09 2017-09-19 Gyrus Acmi, Inc. Combination medical device
US10130410B2 (en) * 2015-04-17 2018-11-20 Ethicon Llc Electrosurgical instrument including a cutting member decouplable from a cutting member trigger
US20160367311A1 (en) * 2015-06-16 2016-12-22 Lawrence J. Gerrans Instrumentation with Embedded Imaging Systems
US10952759B2 (en) * 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
US11602364B2 (en) * 2016-11-16 2023-03-14 Cilag Gmbh International Surgical instrument with removable end effector components
US10485566B2 (en) * 2017-08-17 2019-11-26 Gyrus Acmi, Inc. Forceps with tissue stop

Also Published As

Publication number Publication date
US20190374240A1 (en) 2019-12-12
RU2019116916A3 (zh) 2022-04-12
JP2019209141A (ja) 2019-12-12
CN110575245B (zh) 2022-08-19
RU2019116916A (ru) 2021-05-28
EP3578125A1 (de) 2019-12-11
EP3578125B1 (de) 2024-05-08
CN110575245A (zh) 2019-12-17
JP7305434B2 (ja) 2023-07-10
BR102019010758A2 (pt) 2019-12-10
US11426187B2 (en) 2022-08-30

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